Individual
RAEGAN M'KENZIE RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 WATER ST, DAWSON SPRINGS, KY 42408-1727
(270) 797-2025
Mailing address
PO BOX 667, NORTONVILLE, KY 42442-0667
(270) 871-8682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7613
NC
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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